Beneath the Surface: Exploring Chronic Pelvic Pain & Trauma-Informed Care

Abstract

Chronic pelvic pain (CPP) and chronic pelvic pain syndrome (CPPS) are among the most challenging conditions to diagnose and treat. Despite the fact it is estimated that an average 26% of women are affected worldwide, a paucity of empirical work has been conducted to develop comprehensive evidence-based assessments and interventions that effectively address all aspects of the conditions (Brookes et.al., 2020). Despite such high prevalence rates, individuals suffering from these conditions often remain invisible and untreated, receive ineffective treatments, or endure interventions that are not trauma-informed. Regrettably, this is unsurprising when a significant gap exists in medical and clinical curriculums to effectively address pain syndromes overall (Bradshaw et al., 2017; Kress et al., 2015) often leading to frustration, increased mental distress, and inadvertent retraumatization of the patient. While the Institute of Medicine and the National Pain Strategy have both highlighted and acknowledged the educational gaps in pain management, and emphasized the crucial role clinicians plays in this field (Prasad et al., 2019), there is still much work to do.

This symposium aims to provide a comprehensive introduction to the complexities involved in understanding and treating these chronic conditions while emphasizing the often invisible and undetected trauma underlying these and other pain syndromes. The first of three presentations will explore the complex and multifaceted nature of CPP/CPPS, with an emphasis on the intersection of biological, psychological, and traumatic stress-related effects involving multiple organ systems and influenced by a range of factors, including neurological, musculoskeletal, inflammatory, and psychophysiological processes (Ahangari, 2014; Howard, 2003; Juganavar & Joshi, 2022; Varma & Gupta, 2005). A second presentation will highlight the results of a systematic review of the current CPP/CPPS literature examining specifically the role of sexual trauma, in the development and persistence of CPP/CPPS (Brooks et al., 2020; Fuentes & Christianson, 2018; Krantz et al., 2019; Moussaoui & Grover, 2022; Nelson et al., 2017; Panisch et al., 2022). This review will reveal and explore the evidence highlighting various studies reporting elevated prevalence rates of sexual abuse among women with chronic pelvic pain as well as outline the emerging evidence-based treatment guidelines (Vincent & Evans, 2021; Dun et al., 2015) and trauma-informed interventions (Lamvu et al., 2021; Ross et al., 2022). Finally, the third presentation will underscore the need for an integrative, multidisciplinary approach to assessment and treatment given the current limitations of the healthcare system. A preliminary model of patient care will be presented that comprehensively addresses both the physical and psychological aspects of CPP and CPPS. This discussion will emphasize the importance of a trauma-informed, interdisciplinary model to improve patient outcomes, as well as identify practical clinical strategies that can be implemented across a variety of settings. By understanding these interconnected components, researchers and clinicians will gain a comprehensive perspective on effective assessment and treatment strategies for working with patients suffering with these complex chronic pain conditions.

Target Audience

Those seeking to participate in this webinar must be licensed mental health professionals (psychiatrists, psychologists, clinical social workers, mental health counselors, accredited psychotherapists, etc.). ISSTD staff will audit license information prior to the start of the course and may request additional documentation for your license.

We do accept students enrolled in a program of study leading to a degree or certification in the mental health field and who have an interest in trauma and dissociation. Students must submit proof of student status such as a transcript or registration record. For those who have completed their degree and are currently in the pre-licensure stage practicing under the license of another clinician, you must provide the name and license information for the person you are working with. Documentation should be sent to ISSTD staff at [email protected] before registering. 

This webinar content is at the beginning/introductory level.

Learning Objectives

Learning Objectives

At the conclusion of this session participants will be able to:

  • Explain the relationship between chronic pelvic pain syndrome (CPPS) and trauma exposure, particularly among female-identifying survivors of sexual abuse
  • Describe the multifaceted nature of chronic pelvic pain (CPP) including the neurological, musculoskeletal, inflammatory, and psychophysiological processes involved in development and maintenance of the condition
  • Evaluate the limitations in the current medical and clinical literature base regarding the treatment of CPP/CPPS and the recommendations to address these limitations
  • Identify evidence-based treatments and trauma-informed interventions that effectively address the symptom sequelae of CPP/CPPS
  • Explain the key components of an integrated care model for managing CPP/CPPS, tailored to the needs of diverse patient populations, including those with significant trauma histories

Course summary

Available credit: 
  • 1.50 APA
    The International Society for the Study of Trauma and Dissociation is approved by the American Psychological Association to sponsor continuing education for psychologists. The International Society for the Study of Trauma and Dissociation maintains responsibility for this program and its content.
  • 1.50 ASWB ACE
    The International Society for the Study of Trauma and Dissociation (ISSTD), #1744, is approved as an ACE provider to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Regulatory boards are the final authority on courses accepted for continuing education credit. ACE provider approval period: 08/20/2024 – 08/20/2027. Social workers completing this course receive 1.50 continuing education credits.
  • 1.50 ISSTD Certificate Program
    This program is eligible for 1.50 credits in the ISSTD Certificate Program. No certificate of completion is generated for this type of credit.
Course opens: 
01/21/2025
Course expires: 
12/31/2050
ISSTD Member cost:
$35.00
Your Price:
$55.00
Rating: 
0

Jodie Maccarrone, Ph.D

Jodie Maccarrone, Ph.D. (she/her), obtained her Doctor of Philosophy in Clinical Psychology from Nova Southeastern University in 2022. She is founder of ChangePartners, LLC, a specialty private practice serving high-functioning individuals who have excelled in their professional lives but struggle internally with the emotional and psychological effects of trauma. She is also an adjunct professor in the doctoral program in the College of Psychology at Nova Southeastern University. She completed her predoctoral internship at Broward Health Medical Center, in an inpatient consultation-liaison role and post-doctoral fellowship at Nova Southeastern University's (NSU) Psychology Postdoctoral Residency Program. Her previous clinical experiences include primary care and community health /behavioral health settings including working with serious mental illness, personality disorders, complex trauma and traumatic stress disorders. Her clinical and research interests focus on examining the utility of natural language and natural language processing (NLP) as a diagnostic, conceptualization, and progress monitoring tool for complex conditions such as complex trauma, complex PTSD, and chronic pain. Her work also explores the bidirectional relationship between mental and physical health (specifically pain disorders) and trauma as an important risk factor, as well as the impact of psychological well-being on chronic health issues. She has published work related to trauma and chronic pain as well as psychological well-being in peer-reviewed journals. She is trained in contemporary relational psychodynamic psychotherapy, dialectical behavior therapy, and cognitive behavior therapy and works therapeutically from an integrative perspective. She is an active member of the American Psychological Association, as well as Division 38 Health Psychology, and the International Society for the Study of Trauma and Dissociation.

Abby Dopico, M.S.

Abby Dopico, M.S. (she/her), is a current fourth-year doctoral student in Clinical Psychology at Nova Southeastern University (NSU), where she is part of an American Psychological Association-accredited Clinical Psychology program. Abby is the clinic coordinator of the Trauma Resolution Integration Program (TRIP) within NSU’s Psychology Services Center, a community mental health clinic serving survivors of prolonged abuse and trauma. In this role, she not only oversees administrative duties but also provides supervision and training to practicum students, ensuring high-quality care for a diverse client population, including individuals with complex medical presentations. Her clinical experiences are broad and specialized, having completed practicum rotations at the Biofeedback and Health Psychology Center (BHPC) and TRIP. Abby has extensive experience working in community mental health settings with individuals who have chronic and severe medical conditions, serious mental illnesses, personality disorders, complex trauma, and traumatic stress disorders. Her therapeutic approach is integrative, drawing from a variety of modalities, including psychodynamic psychotherapy, dialectical behavior therapy, process/experiential therapy, person-centered therapy, and relational influences. Abby’s research interests focus on the intersection of physical health, chronic disease, and trauma, particularly in female sexual assault survivors. She has contributed to significant research projects, including involvement in NIH-funded studies, where she served as research coordinator. She is student member of the American Psychological Association, including Division 38 Health Psychology, Division 56 Trauma Psychology, and Division 12 Society of Clinical Psychology. Additionally, she is a student member of the International Society for the Study of Trauma and Dissociation. Abby's dedication to her field is also reflected in her scholarly work and her participation in numerous conferences and symposia, where she has presented her research findings.

Nicole Wang, B.S.

Nicole Wang, B.S. (she/her), is a current second-year doctoral student in Clinical Psychology at Nova Southeastern University’s (NSU) American Psychological Association-accredited Clinical Psychology program. Currently, she serves as a psychology trainee at the OurRelationship practicum site, a federally funded program, where she provides nationwide, web-based support to couples experiencing relationship distress through an adaptation of Integrative Behavioral Couples Therapy. She is also involved as a qualitative coder for the OurRelationship program, where she codes core issues identified in couples’ presenting problems to determine the effectiveness of the program. Outside of her academic responsibilities, Nicole works as a counselor at The Renfrew Center, where she provides therapeutic groups to aid adolescent girls, adult women, and transgender and non-binary individuals in their eating disorder recovery. She also facilitates perinatal support groups through Postpartum Support International to birthing parents who are struggling with new parenthood and mental health. Nicole brings a diverse clinical background, having gained experience across various medical specialties, including internal medicine, obstetrics and gynecology, and emergency medicine. Over the past year, she has contributed to webinars addressing key issues such as impostor syndrome, the psychological challenges surrounding childbirth and parenthood, mindful parenting, how to manage fear and anxiety of childbirth and parenthood, and barriers to parental mental health. Her research interests are centered on women’s mental health, with a particular focus on material mental health and reproductive health psychology. Given her interests, Nicole serves as the research chair of the Health Psychology Association and the vice president of the Association for Women’s Empowerment within the College of Psychology at Nova Southeastern University. Nicole is also a graduate student member of the American Psychological Association and Postpartum Support International.

Available Credit

  • 1.50 APA
    The International Society for the Study of Trauma and Dissociation is approved by the American Psychological Association to sponsor continuing education for psychologists. The International Society for the Study of Trauma and Dissociation maintains responsibility for this program and its content.
  • 1.50 ASWB ACE
    The International Society for the Study of Trauma and Dissociation (ISSTD), #1744, is approved as an ACE provider to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Regulatory boards are the final authority on courses accepted for continuing education credit. ACE provider approval period: 08/20/2024 – 08/20/2027. Social workers completing this course receive 1.50 continuing education credits.
  • 1.50 ISSTD Certificate Program
    This program is eligible for 1.50 credits in the ISSTD Certificate Program. No certificate of completion is generated for this type of credit.

Price

ISSTD Member cost:
$35.00
Your Price:
$55.00
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"Your Price" above reflects your final price based on your membership status and career level. 

  • ISSTD defines a student as those enrolled in a program of study leading to a degree or certification in the mental health field and who have an interest in trauma and dissociation. 
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